In Lieu of Flowers

If you have chosen to direct memorial contributions to Massey in memory of your loved one, please complete the form below so we know how to inform you about gifts received. If you have any questions please feel free to contact Robinette M Tiller at (804) 828-0034 or at rmtiller@vcu.edu.

1 Contact information

Title:

First name:

Middle initial:

Last name:

Suffix:

Address line 1:

Address line 2:

City:

State:

ZIP/Postal code:

Phone:

Email:

2 Memoriam Information

Memoriam gifts are dedicated to:

Would like our staff to provide mailing labels for commemorative gifts?